NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT NỘI SOI ĐAU ĐẦU DO TIẾP XÚC VÙNG MŨI TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ NĂM 2021- 2023

Abstract

Background: Rhinogenic contact point headache is a syndrome that acquired secondary to a contact between two opposing intranasal mucosal surfaces without signs of inflammation, mucosal hyperplasia, purulent discharge, polyps, or tumors. The referred headache may result from pressure on the nasal mucosa caused by the anatomical variations in nasal cavity in which septal deviation is commonly seen clinically. Objectives: To determine the proportion of clinical symptoms and subclinical features and to evaluate the surgical management outcome of rhinogenic contact point headache in Can Tho ENT Hospital from 2021-2023. Materials and methods: Patients diagnosed rhinogenic contact point headache with evidence of mucosal contact points on imaging and cessation of headache following topical use of lidocain 10% and decongestants at contact area. All patients underwent endoscopic surgery to separate the contact point in the nasal cavity. Study method: prospective study with clinical intervention. Results: The average value of preoperative VAS scale valued 5,34 ± 1,88, a week postoperative VAS scored 1.98 ± 2.37, 1 month 1.09 ± 1.65, 3 months 0.45 ± 0.13, the differences were statistically significant (p<0.001). Three months operatively, 91.4% patients presented without headache. Accompanying symptoms, namely nasal congestion, nasal drip, sneeze were significantly decreased. The surgical management outcome of rhinogenic contact point headache was relatively positive with 91.4% patients resulted in good outcome. Conclusion: Endoscopic surgical treatment of rhinogenic contact point headache resulted in good outcome with quality of live significantly enhanced.